The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
The right ventricle then pumps the blood back out of the heart into the lungs to be replenished with oxygen. Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side.
Since the blood is coming to the right side of the heart from the body this is where blood can pool. Signs & Symptoms of Right Side Heart Failure: 1  Swelling in the feet, ankles and legs. 2  Distended abdomen or bloating. 3  Fatigue. 4  Shortness of breath, especially while walking or bending over to put on one's shoes.ince the blood is coming to the left side from the lungs, this is where the blood can get pooled. Signs & Symptoms of Left Side Heart Failure: 1  Shortness of breath, especially while walking or bending over to put on one's shoes. 2  Fatigue. 3  Dizziness, lightheadedness.